Laserfiche WebLink
., <br /> � CITY OF ORONO APPLICATION FOR PLUMBING PERMIT <br /> Box 66 (1335 So Brown Rd) <br /> Crystal Bay, MN 55323 <br /> *************************************************************************** <br /> General Instructions <br /> 1. You may apply for plumbing permits by mail or in person at the City offices. <br /> 2. Mailed in applications are subject to the postage and handling fees shown below. <br /> Permit cards will be sent by return mail the same day the application is received. <br /> 3. Permits are not valid until you receive a permit card. <br /> �� 4. Work must not begin unless the permit card is available on the job site. <br /> � 5. Plumbing permits may be issued to licensed contractors only. <br /> 6. When any new construction or remodeling is involved, a separate building permit must <br /> `� be obtained. <br /> 7. All work must be done in accordance with State Code requirements. <br /> 8. All work must be inspected before it is covered. Call 473-7357. <br /> 24 hour notice required. <br /> ******************************�*� *******`****** *************************** <br /> JOB SITE ADDRESS: ����� _���t/j��.(,��— � <br /> Occupancy Type: _��Residential Commercial <br /> OWNER'S NAME: , Phone No. : L� �y -�y�� <br /> Mailing Address: City: <br /> CONTRACTOR'S NAME:< _� ���,p,ej-.._ Bu s. No. : / ��� ��J 1 <br /> Mailing Address: / �/,3� t� Ut �;; City: ���t- Zip:�y� <br /> Master Plumber' s State License No. : )fi� -3=/:� 3 City ert. No. : <br />. *************************************************************************** <br /> PLUMBING FIXTURE SCHEDULE <br /> (Show number of fixtures of each type on each floor) <br /> FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER FIXTURE TYPE BSMT 1ST FLOOR 2ND FLOOR OTHER <br /> ___________�� .-,I___.__ _T_____ ___�__ __'_.__'���___ ___' ____���__ ������___ _____ <br /> _�-� __ <br /> /� --- <br /> V7ater Closet ( ) ," � '� _--_- Sewer Ejector <br />� ------------ v- -- --- --- --- ----------- -- --•---- ------- ---- <br /> - - - - - - - - - - - - - - - - <br /> Lavatory i � ___-_- Laundry Tray , <br /> ------------ - --L--- ------ ----------- -- --.�--- ------- ---- <br /> Bathtub � ----_- Washer <br /> ------------- --- ---- -------- ----------- <br /> --�---- ---- --- --- --------- ----- <br /> Shower � � � Water fieater J � <br /> ------------ �- --•---- ----- ---- ----------- -�+- --•----- -------- ----- <br /> Ritchen Sink � 1 -_-__- Water Softner <br /> _____________1____ _'�__� ___'_�_ ___________ �_ __.____ _______� _�.�_ <br /> Disposal I- Wet Bar <br /> -------------1 --- ---- ----- ---- ----------- -- --�---- -------- ----- <br /> Dishwasher___ I- f Sum Pum <br /> --------- 1 --- ---� -- --------- ----- --p----P--- -�- ------- ---------- ----- <br /> Sillcocks �, MisC. (List) <br /> ------------- ----- ---•--- --- ----- ------ ------- <br /> Floor Drains i <br /> **********************************************************,t**************** _ <br /> 1. Fixture Fee The minimum permit fee is $30.00 $ <br /> Compute number of fixtures x $8/fixture <br /> x $5/fixture reset , <br /> 2. State Surcharge $ .50 <br /> 3. Postage b Handling (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (add lines 1-3 above) $ / � � S� <br /> *************************************************************************** <br /> The undersigned hereby applies to the City of Orono for issuance of a Plumbing Permit, <br /> agrees to do all work in strict accordance with the ordinances of the City and the <br /> regulations of the State of Ptinnesota, and certi.fies that all statements made on this <br /> application are complete, true and correct. <br /> Si nature of A licant. � Date: �� 1 '� I <br /> 9 �I� <br />